Prochant US

Healthcare revenue cycle management for providers

Infusion Reimbursement Specialist

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeRemote in USANo salary listedRemote

About the Job

Requirements

A high school diploma or GED is required.
Deep knowledge and experience billing and collecting major medical claims for home infusion, ambulatory infusion, and/or specialty pharmacy.
Experience using Bright Tree, CPR+, CareTend, or WeInfuse software.
General knowledge of Healthcare Common Procedure Coding System (HCPCS), National Drug Codes (NDC), Current Procedural Terminology (CPT), and International Classification of Diseases, 10th Revision (ICD-10) coding.
Ability to demonstrate a clear understanding of CMS 1500 and 837 claim formatting and billing process.

Responsibilities

Ensure receipt and validity of all documents needed to prepare and submit billing and claims accurately.
Understand benefits verification and prior authorization, date spans, and HCPCS unit calculations.
Submit insurance claims accurately and on time to government, non-government, and third-party payors.
Research claim denials and resolve associated accounts receivable in a timely manner.
Conduct frequent phone contact with provider representatives, third-party customer service representatives, pharmacy staff, and case managers as needed.
Provide, submit, and coordinate necessary documentation to comply with payor requirements, including collaboration with internal teams, communication with external parties, and exchanging information with other business services.

Desired Qualifications

Two or more years of directly related infusion and durable medical equipment (DME) experience is preferred.

Infusion Reimbursement Specialist

Prochant US · United States (Remote) · Full-time · Posted 2026-10-09

Workplace: remote

Department: Reimbursement Operations- Infusion

Description

The Infusion Reimbursement Specialist is responsible for multiple areas that are key to success for Prochant, a billing service and process outsourcing company in the U.S. healthcare industry. The Infusion Reimbursement Specialist is responsible for the timely and accurate processing of claims. Following guidelines established by company policies, state or federally imposed billing requirements or insurance guidelines for best billing practices, including HIPAA. The reimbursement specialist ensures clean claim submission to health plans. Reimbursement Specialist responsibilities include:

Ensures receipt and validity of all documents needed in order to prepare and submit all billing and claims accurately.
Responsible for understanding benefits verification and prior authorization, date spans, and HCPC unit calculations.
Timely and accurate insurance claim submission, government, non-government, and third-party payors.
Research claim denials and resolve associated AR in a timely manner
Conducts frequent phone contact with provider representatives, third party customer service representatives, pharmacy staff, and case managers as needed.
Providing, submitting, and coordinating all necessary documentation to be in compliance with payor requirements, including but not limited to, collaboration with internal teams, communication with external parties, and exchanging information with other business services as needed.

Requirements

High school diploma or GED
Deep knowledge and experience billing and collecting major medical claims for home infusion, ambulatory infusion, and/or specialty pharmacy.
Two (2)+ years directly related Infusion and DME experience preferred.
Experience using Bright Tree, CPR+, CareTend, or WeInfuse software.
General knowledge of HCPCS, NDC, CPT, and ICD-10 coding.
Ability to demonstrate a clear understanding of CMS 1500 and 837 claim formatting and billing process.

Benefits

Prochant offers some of the best benefits in the industry! We take great care of our employees. Prochant’s Fortune 500 level benefits package includes:

Health Insurance
Gap Insurance
Dental Insurance
Vision Insurance
Short Term / Long Term Disability (company paid)
Term Life Insurance (company paid, employee can elect additional)
Full suite of CHUBB supplemental insurance plans, including: Disability Income, Level Term Life, Accident Insurance, & Critical Illness Insurance
Floating holidays and paid time off
Pre-Paid Legal
401K with company match

Apply

Apply at Prochant US

About the Company

Prochant US

Healthcare revenue cycle management for providers

Prochant US Guyana offers end-to-end revenue cycle management for healthcare providers, with a focus on home-based care. It handles intake, billing, coding, claims processing, and reimbursement, and manages referrals and prior authorizations to cut denials and administrative burden. The service is tailored to home-based care providers in Guyana, outsourcing billing workflows so clients can focus on patient care and growth. What makes it different is the niche specialization for Guyana’s home-based care market, plus a dedicated emphasis on reducing denials and improving cash flow, along with talent development through the ACAP Accelerated Career Assessment Program. The company’s goal is to improve clients’ financial performance by streamlining revenue cycles and enabling sustainable growth.

Company size: 501-1,000
Company stage: Not listed
Total funding: Not listed
Headquarters: Charlotte, NC
Founded: 1999

Recently Posted Jobs

Explore more opportunities at Prochant US

See more jobs